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Central line occlusion Review of the Line History (These questions are relevant in determining appropriate treatment of the occlusion.) Complete the line history before activating the algorithm. What happened immediately before the line occluded? · Was IV fluid infusing? · Was the line used for...

Assessment of hydration - Heart rate (bpm) o Newborn – 3 months: 85 - 205 o 3 months – 2 years: 100 - 190 o 2 years to 10 years: 60 - 140 o >10 years: 60 - 100 - Weight o Infant scale age o Standing scale age >2 year o Helpful to document which scale was used for consistency - Physical exam findings...

Malnutrition Waterlow Criteria (wt/ht % std = degree of wasting) 80 % - 89 % Mild 70 % - 79 % Moderate Severe 90 - 110 Normal Variation 110 - 120 Overweight > 120 Obese Malnutrition Symptoms: Irritability Apathy Decreased social responsiveness Anxiety Attention deficits Malnutrition physical signs...

Protein Needs Weight (kg) Protein (g/kg/day) 0.0-5.0 2.0-3.5 5.0-20.0 1.0-2.5 20.0-40.0 1.0-2.0 >40.0 0.8-2.0 (max 150 g/day) Not all amino acid solutions are the same Amino Acids: Aminosyn 10% Trophamine 10% Prosol 20% Clinisol 15% Travasol 1 0% FreAmine 10% Primene 10% Aminosyn II 15% B Bruan 15%...

Mean Increments In Weight and Length for Boys Using CDC Growth Charts Boys Age (mos) Weight (g/month Weight (kg/yr) Length (cm/month) Length (cm/year) 2-3 yrs 132 1.6 0.7 9 3-4 yrs 156 1.9 0.6 7 4-5 yrs 181 2.2 0.5 6 5-6 yrs 189 2.3 0.6 7 6-7 yrs 197 2.4 0.5 6 7-8 yrs 205 2.5 0.5 6 8-9 yrs 247 3 0.5...

Psychosocial Aspects HPN staff needs to assess family's ability to provde PN care at home. This process is similiar to transplant assessment of patient, as the alternative is continued hospitalization on HPN until PN can be discontinued OR issues can be resolved OR sometimes intestinal transplant...

For a PDF version of the FAQ's, click here What if patient has a fever? Refer patient to the emergency department. Do not reassure family over the phone. For red flag symptoms, tell them to dial 911 (altered mental status, chills, seizures). Tell family to anticipate admission for at least 48 hours...

Case #1 7 year-old on PN 1500 ml/day over 24 hours and (3 gm/kg) 310 ml/day over 24 hours •PN and lipid pumps are mixed up •IL runs at 63 ml/hour, instead of 13 ml/hour •What do you need to watch for? Read more about management here

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